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Goldacre takes ABPI to task over book snub

UK News | October 12, 2012
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Ben Adams

Dr Ben Goldacre has reacted angrily to a public snub of his book by the UK pharma lobby group the ABPI.

Goldacre’s new book, provocatively titled ‘Bad Pharma’, was published late last month, and has been the subject of much debate within pharma.

The book discusses both recent and systemic problems within the industry, with a particular focus on pharma firms withholding vital trial data – with the compliance of regulators – and the recent fraud charges surrounding GlaxoSmithKline, among other firms.

Last week the ABPI posted a public rejection of the criticisms levied at its members, with Stephen Whitehead, chief executive of the ABPI, saying that it remains a highly regulated industry, and does its upmost to deliver innovative medicines to patients.

Whitehead added: “We must remember though that the examples he refers to are long documented and historical, and the companies concerned have long addressed these issues.”

Goldacre took particular exception to this, and posted his own reaction on his ‘Bad Science’ blog, where he said: “I am very sorry to say that the ABPI, the UK pharmaceutical industry PR group, has now responded [to ‘Bad Pharma’], and their only response has been to flatly deny what is plainly and provably true.”

Responding to the claims that these issues are ‘historical’ Goldacre says: “This is simply not true. The examples I refer to – [Roche’s influenza drug] Tamiflu, the failure of clinicaltrials.gov, and more – are contemporary, and very much on-going.”

He adds that it is: “Extraordinary and bizarre that anyone should claim that these problems are historical”.

He concludes: “The ABPI’s outright denial, of on-going problems that are so well documented, is worrying, because it hints at a wider malaise: that the pharmaceutical industry has learned there are no consequences for claiming black is white.

“As long as we live in a world where the ABPI can feel confident about claiming, quite falsely, in the face of all the published evidence, that these problems are in the past, then patients will continue to suffer unnecessary and avoidable harm. I truly wish this wasn’t so.”

Goldacre added that he would be posting more responses from the industry in the coming days, which he says are ‘more troubling’ than the comments from the ABPI.

Goldacre's full response can be found here: http://t.co/ugpg83C

And the ABPI's here: http://bit.ly/SSWQap

Click here to order a reprint of this news story.

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Comments 4

  1. John Ansell 12 Oct

    Extracts from Goldacre's new book appeared in a lengthy Guardian article recently. I checked this through and there was nothing new. It was all re-heated material that had previously appeared in his weekly Guardian columns - mostly far from recently.

    Obviously Goldacre needed something to follow up his highly successful "Bad Science". I have a lot of time for his material in that book.

    That Goldacre could find nothing new on pharma is telling. No doubt it hurts when someone spots that there is nothing novel in what you are putting out.
  2. bengoldacre 12 Oct

    I don't think I'm angry. I'm sad, really, that the ABPI have been unable to engage constructively with substantive concerns about ongoing problems that need to be fixed. 

    Roche continue to withhold information on Tamiflu from Cochrane.

    Clinicaltrials.gov has not worked: only one in five trials have met their reporting requirements. 

    If the Guardian chose earlier stories that you don't like for their extract, then that's beyond my control. 

    I think criticising someone's book, as the commenter above does, and their comments about it, without ever reading either, tells a clear story about how this industry has failed over the years to fix the serious problems that put patients lives at risk.

    I strongly encourage you to engage with the business of health a little more thoughtfully. 

    Ben Goldacre
    www.badscience.net

    *Note from moderator - links are now in the story
  3. Umberto Eco 15 Oct

    Dear Ben, it's very nice that you commented here. I worked at a US pharma company in CTs and now I evaluate clinical overviews, I agree wholeheartedly, lie and deformation of truth are at the core of the system (and not only this one). Your efforts are very much appreciated, but to get some perspective: is forcing pharma to tell the truth and nothing but the truth, which will be rather difficult - as for any industry, really a higher priority than stopping the tobacco industry from selling the product to millions that kills one out of two long-term users? Those lies are much more deadly and even less historical - the first LC -tobacco link is from 1912,  it's not getting better with any real urge. Which one is a higher health priority to you?
  4. Salisbury Rich 01 Nov

    Having worked in the UK NHS most of my life in a clinical and managerial role I can attest to the fact that marketing by drug reps has become an accepted part of the scenery. Only when the arrogance of many medical staff and the apathy of managers has been turned round will clinicians be free of these iniquitous parasites. The revelation that reps gain access to prescribing histories - and possibly personal details of patients is outrageous. I speak as a member of the public who has the right to privacy.
    @ umberto eco, people who smoke know, or can easily find out, what effect tobacco has but the prescribing of expensive and dubiously efficient drugs controlled by the operation of dark arts is beyond the pale.

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